Prevalence and Factors Contributing to Delayed Access to Emergency Obstetric Care Among Mothers in Eastern India

Priti  Kumari; Sheela  Kumari; Usha  Kumari

doi:10.51168/sjhrafrica.v5i12.1467

Authors

Priti Kumari Senior Resident, Department of Obstetrics & Gynaecology, Jawahar Lal Nehru Medical College & Hospital, Bhagalpur, Bihar, India
Sheela Kumari Assistant Professor, Department of Obstetrics & Gynaecology, Jawahar Lal Nehru Medical College & Hospital, Bhagalpur, Bihar, India
Usha Kumari HOD & Professor, Department of Obstetrics & Gynaecology, Jawahar Lal Nehru Medical College & Hospital, Bhagalpur, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1467

Keywords:

Maternal Health, Obstetric Care, Delays, Socioeconomic Factors, Antenatal Care

Abstract

Background: Maternal mortality represents a significant public health challenge in underdeveloped countries, where numerous women succumb to pregnancy-related complications. Major contributing factors include delays in recognizing medical emergencies and accessing appropriate healthcare services. Analyzing these delays is essential for formulating effective strategies to enhance maternal health outcomes.

Methods: This cross-sectional study was conducted at Jawahar Lal Nehru Medical College & Hospital in Bhagalpur, Bihar, involving 120 women who sought maternity services. Data were collected using a validated questionnaire administered by trained interviewers. Statistical analysis included descriptive and multivariate logistic regression to identify factors associated with delays in seeking obstetric care.

Results: Of the 120 respondents, 86 provided consent and were interviewed, resulting in a response rate of 72%. The average delay in seeking obstetric treatment was approximately 1.5 hours, with 66.7% of participants reporting difficulty in deciding to seek care. Women aged 20-34 and those with lower educational levels experienced significantly higher delays in seeking treatment. Factors such as income, employment status, and antenatal care follow-up also influenced maternal delays.

Conclusion: The study highlights significant delays in seeking obstetric care among women, particularly in younger and less educated populations. Improving awareness and access to maternal healthcare services is essential to reduce these delays.

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